Delivery of heliox with a semi-closed circuit during spontaneous breathing: a comparative economic theoretical study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F15%3A10295609" target="_blank" >RIV/00216208:11110/15:10295609 - isvavai.cz</a>

Alternative codes found

RIV/61383082:_____/15:#0000400 RIV/68407700:21460/15:00231636

Result on the web

<a href="http://dx.doi.org/10.1186/s12890-015-0060-9" target="_blank" >http://dx.doi.org/10.1186/s12890-015-0060-9</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s12890-015-0060-9" target="_blank" >10.1186/s12890-015-0060-9</a>

Result language

angličtina

Original language name

Delivery of heliox with a semi-closed circuit during spontaneous breathing: a comparative economic theoretical study

Original language description

Background: Heliox is a mixture of oxygen and helium which reduces airway resistance in patients with airway obstruction. In clinical practice, patients breathing spontaneously receive heliox via an open circuit. Recently, a semi-closed circuit for heliox administration has been proposed which minimizes consumption of heliox and therefore cost of the heliox therapy; although, the semi-closed circuit is associated with additional costs. The aim of the study is to conduct an economical analysis comparing total cost of heliox therapy using an open versus a semi-closed circuit in spontaneously breathing patients with airway obstruction. Methods: Four different systems for heliox administration were analyzed: an open circuit and three alternatives of a semi-closed circuit involving a custom made semi-closed circuit and two standard anesthesia machines. Total costs of heliox therapy were calculated for all the systems. For calculation of gas consumption, the clinical procedures limiting continuous heliox therapy including the aerosol therapy, personal hygiene and nutrition were taken into account. A sensitivity analysis was c,onducted for main input variables that may influence the results of the study. Results: Price of gases consumed by a semi-closed system represents less than 20 % of price of gases when a standard open circuit is used. This represents a saving of approximately 540 EUR per patient. The initial cost of the custom-made semi-closed circuit recuperates after treatment of 18 patients. The corresponding number of patients is 32 when a low-cost anesthesia machine is initially acquired and rises to 69 when a highly advanced anesthesia machine is considered.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FC - Pneumology

OECD FORD branch

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Project

<a href="/en/project/NT11532" target="_blank" >NT11532: Medical Technology Assessment</a><br>

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2015

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

BMC Pulmonary Medicine

ISSN

1471-2466

e-ISSN

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Volume of the periodical

15

Issue of the periodical within the volume

June

Country of publishing house

GB - UNITED KINGDOM

Number of pages

8

Pages from-to

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UT code for WoS article

000356212400001

EID of the result in the Scopus database

2-s2.0-84931035862